Hildebrand Claudia, Pharow Peter, Engelbrecht Rolf, Blobel Bernd, Savastano Mario, Hovsto Asbjorn
GSF-Research Centre for Environment and Health, Neuherberg, Germany.
Stud Health Technol Inform. 2006;121:327-36.
The experience gained in these last years and the several lesson learned have clearly shown that eHealth is more than just a simple change from paper records to electronic records. It necessitates a change of paradigms, on the one hand and the use of new technologies and introduction of new procedures on the other. Interoperability becomes a crucial issue. Security and confidentiality are vital for the acceptance of the new approaches and for the support of eHealth. Shared care and across-border interactions require a reliable and stable normative framework based on the application of standardized solutions, which are often not yet sufficiently known, diffused and implemented. Feeling this gap, a group of international experts in the medical area proposed to the EC the BioHealth project whose main aim is to create awareness about standardization in eHealth and to facilitate its practical implementation. The project will address all the stakeholders concerning their respective domain. It will evaluate the socio-economic and cultural aspects concerning eHealth with particular reference to the growing introduction of emerging technologies such as health cards, biometrics, RFID (radio-frequency identification) and NFC (Near field communication) tags. By providing information and expert advice on standardization and best practices it will raise the acceptance on standardization. Furthermore, the project will deeply approach the ethical and accessibility issues connected to identity management in eHealth, which -together with privacy- represent probably the most significant obstacles for the wide diffusion of eHealth procedures.
过去几年积累的经验和吸取的诸多教训清楚地表明,电子健康不仅仅是从纸质记录简单转变为电子记录。一方面,它需要范式的转变,另一方面需要使用新技术并引入新程序。互操作性成为一个关键问题。安全和保密对于新方法的接受以及电子健康的支持至关重要。共享医疗和跨境互动需要一个基于标准化解决方案应用的可靠且稳定的规范框架,而这些标准化解决方案往往尚未得到充分了解、传播和实施。鉴于此差距,一群医学领域的国际专家向欧盟委员会提议了生物健康项目,其主要目标是提高对电子健康标准化的认识并促进其实际实施。该项目将涉及所有利益相关者各自的领域。它将评估与电子健康相关的社会经济和文化方面,尤其涉及健康卡、生物识别技术、射频识别(RFID)和近场通信(NFC)标签等新兴技术的日益引入。通过提供关于标准化和最佳实践的信息及专家建议,它将提高对标准化的接受度。此外,该项目将深入探讨与电子健康身份管理相关的伦理和可及性问题,这些问题与隐私一起可能是电子健康程序广泛传播的最重大障碍。